| Johana Fortune, | |
|
928 Jaymor Rd, Southampton, PA 18966-3826 | |
| (215) 330-4116 | |
| Not Available |
| Full Name | Johana Fortune |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 928 Jaymor Rd, Southampton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265076202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC018269 (Pennsylvania) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Johana Fortune, 928 Jaymor Rd, Southampton, PA 18966-3826 Ph: (215) 330-4116 | Johana Fortune, 928 Jaymor Rd, Southampton, PA 18966-3826 Ph: (215) 330-4116 |
Barbara Theresa Fisher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1243 Whitney Rd, Southampton, PA 18966 Phone: 215-675-8230 | |
Ms. Toby Desperak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Hidden Cove Dr, Southampton, PA 18966 Phone: 609-240-8694 | |
Nicole Tener, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Jaymor Rd Ste C-150, Southampton, PA 18966 Phone: 267-442-8461 | |
Christina Thomas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Jaymor Rd Ste C-150, Southampton, PA 18966 Phone: 215-330-4116 | |
Erica Fleck, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Jaymor Rd Ste C-150, Southampton, PA 18966 Phone: 215-330-4116 | |
Virginia Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Woods Rd, Southampton, PA 18966 Phone: 215-355-4042 |